Director, AIM Medical Economics and Program Analytics - 67194
WellPoint - Chicago, IL

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AIM Specialty Health (AIM) , a proud member of the WellPoint family of companies, is the nation's leading provider of specialty benefits management services. Through an innovative technology platform and steadfast commitment to excellent customer service, AIM promotes the appropriate, safe and cost effective use of clinical services including: radiology, cardiology, oncology, specialty drugs, and sleep medicine.

Bring your expertise to our forward-thinking and achievement-driven culture. At AIM, you will discover lasting rewards and an opportunity to take your career to new heights.

AIM is currently seeking a Director, AIM Medical Economics and Program Analytics.

Responsibilities:
Leads and is accountable for the people, processes, methodologies, and infrastructure for measuring, analyzing, and advising AIM’s health plan and employer account clients on program performance and enhancement opportunities. Responsible for installing and executing a structured discipline of data surveillance, interrogation, and expert interpretation to advance the business and clinical goals of AIM and clients, directly and through a team of data management and analyst staff. Duties include: development and execution of claims analyses, including results interpretation & drill-down, hypothesis development & testing, application of advanced statistical methodologies to explain performance drivers and sources of variance. Manages claims & analytics platform, including data acquisition, transformation, normalization, and warehousing; standard tool selection and use, and benchmark metrics. Provides cohesive, understandable, actionable, and integrated presentation of information to clients.

About AIM Specialty Health
AIM Specialty Health (AIM) is a leading specialty benefit management company with more than 20 years of experience and a growing presence in the management of radiology, cardiology, oncology, sleep medicine, and specialty pharmacy benefits. Our mission is to make healthcare services more clinically appropriate, safer and more affordable. As such, we promote the most appropriate use of specialty care services through the application of widely accepted clinical guidelines delivered via an innovative platform of technologies and services. With over 32 million members covered across 50 states, AIM ensures delivery of the right test at the right time in the right place.

We maintain offices in Chicago, Deerfield, Schaumburg and Westchester, IL as well as Glendale, CA. This position can be located in our Westchester, Deerfield or Glendale contact centers.

AIM‘s services include:
Prospective clinical review of outpatient advanced imaging procedures such as CT, MRI, Nuclear Cardiology and PET Scans

Clinical review for cardiology and specialty pharmacology products and services.

Oncology Management programs leveraging AIM's proven specialty benefit platform to drive consistent and effective cancer care through services review along with management of close to 70 oncologic drugs.

Specialty Drugs programs to provide review for over 142 specialty drugs offering providers an automated drug review process through our provider friendly web portal.

Sleep Management, designed to align the diagnosis and treatment of sleep apnea against clinical guidelines, enhance member access to high value providers and ensure treatment compliance for the dispensing of supplies.
Our programs combine clinical excellence its innovative technology and a commitment to customer service, ensuring the company’s on-going leadership in the rapidly evolving healthcare environment.

AIM is certified by the National Committee for Quality Assurance (NCQA) and has received Full Accreditation for Health Utilization Management from the Utilization Review Accreditation Commission (URAC.)

AIM Specialty Health (AIM) , a proud member of the WellPoint family of companies, is the nation's leading provider of specialty benefits management services. Through an innovative technology platform and steadfast commitment to excellent customer service, AIM promotes the appropriate, safe and cost effective use of clinical services including: radiology, cardiology, oncology, specialty drugs, and sleep medicine.

Bring your expertise to our forward-thinking and achievement-driven culture. At AIM, you will discover lasting rewards and an opportunity to take your career to new heights.

AIM is currently seeking a Director, AIM Medical Economics and Program Analytics.

Responsibilities:
Leads and is accountable for the people, processes, methodologies, and infrastructure for measuring, analyzing, and advising AIM’s health plan and employer account clients on program performance and enhancement opportunities. Responsible for installing and executing a structured discipline of data surveillance, interrogation, and expert interpretation to advance the business and clinical goals of AIM and clients, directly and through a team of data management and analyst staff. Duties include: development and execution of claims analyses, including results interpretation & drill-down, hypothesis development & testing, application of advanced statistical methodologies to explain performance drivers and sources of variance. Manages claims & analytics platform, including data acquisition, transformation, normalization, and warehousing; standard tool selection and use, and benchmark metrics. Provides cohesive, understandable, actionable, and integrated presentation of information to clients.

About AIM Specialty Health
AIM Specialty Health (AIM) is a leading specialty benefit management company with more than 20 years of experience and a growing presence in the management of radiology, cardiology, oncology, sleep medicine, and specialty pharmacy benefits. Our mission is to make healthcare services more clinically appropriate, safer and more affordable. As such, we promote the most appropriate use of specialty care services through the application of widely accepted clinical guidelines delivered via an innovative platform of technologies and services. With over 32 million members covered across 50 states, AIM ensures delivery of the right test at the right time in the right place.

We maintain offices in Chicago, Deerfield, Schaumburg and Westchester, IL as well as Glendale, CA. This position can be located in our Westchester, Deerfield or Glendale contact centers.

AIM‘s services include:
Prospective clinical review of outpatient advanced imaging procedures such as CT, MRI, Nuclear Cardiology and PET Scans

Clinical review for cardiology and specialty pharmacology products and services.

Oncology Management programs leveraging AIM's proven specialty benefit platform to drive consistent and effective cancer care through services review along with management of close to 70 oncologic drugs.

Specialty Drugs programs to provide review for over 142 specialty drugs offering providers an automated drug review process through our provider friendly web portal.

Sleep Management, designed to align the diagnosis and treatment of sleep apnea against clinical guidelines, enhance member access to high value providers and ensure treatment compliance for the dispensing of supplies.
Our programs combine clinical excellence its innovative technology and a commitment to customer service, ensuring the company’s on-going leadership in the rapidly evolving healthcare environment.

AIM is certified by the National Committee for Quality Assurance (NCQA) and has received Full Accreditation for Health Utilization Management from the Utilization Review Accreditation Commission (URAC.)

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WellPoint, Inc. (WellPoint) is a health benefits company serving 35 million medical members, as of December 31, 2008. The Company is an...